Department of Health Services Management, The Graduate School of Kyung Hee University, Seoul 02447, Korea.
Research Institute for Healthcare Policy, Korean Medical Association, Seoul 04373, Korea.
Int J Environ Res Public Health. 2019 Jul 30;16(15):2714. doi: 10.3390/ijerph16152714.
This study examines job satisfaction of physicians in Korea and investigates factors affecting their satisfaction. The majority of the past studies tend to cover few minor factors- including stress and occupation professionality or insufficient scale of respondents in particular regions-thus leading to restricted explanations on job satisfaction of the overall physician pool in Korea. This study examines the level of job satisfaction of physicians in Korea and factors affecting their satisfaction by using the '2016 Korean Physician Survey (KPS)' data which included all physicians in Korea. Ordinal logistic regression analysis was conducted in this study in order to identify the factors affecting job satisfaction of physicians in terms of care environment attributes. These attributes included autonomy for care delivery, colleagues/staff/patient relations, income, healthcare resources, social reputation, personal leisure time, administration, restrictions and regulations, and work hours and loads. For the ordinal logistic regression analysis, general socio-demographic attributes, such as gender, age, specialty, job position, type of affiliated healthcare organization, working region, and length of service were controlled beforehand. The result of our measures, the affecting factors of job satisfaction for physicians, include being able to; maintain positive relations with patients through adequate time for consultation and necessary healthcare, have the autonomy to make clinical decisions, have healthy relations with peers and staff, obtain respect from family and society, work in an environment with desirable income and have adequate health resources, and have appropriate work hours and loads for those who facilitate high-quality care. Creating an environment in which physicians can focus on patient-oriented healthcare will contribute to promoting national healthcare.
本研究考察了韩国医生的工作满意度,并调查了影响其满意度的因素。过去的大多数研究往往只涵盖少数几个次要因素,包括压力和职业专业性,或者特定地区的受访者数量不足,因此对韩国整体医生群体的工作满意度的解释有限。本研究利用包括韩国所有医生在内的“2016 年韩国医生调查(KPS)”数据,考察了韩国医生的工作满意度水平以及影响其满意度的因素。有序逻辑回归分析用于确定影响医生工作满意度的因素,这些因素包括提供护理的自主权、同事/员工/患者关系、收入、医疗资源、社会声誉、个人休闲时间、行政管理、限制和规定以及工作时间和工作量。对于有序逻辑回归分析,事先控制了一般社会人口统计学属性,如性别、年龄、专业、工作岗位、所属医疗机构类型、工作地区和服务年限。我们的措施的结果,即影响医生工作满意度的因素,包括能够通过足够的咨询时间和必要的医疗保健与患者保持积极的关系、拥有做出临床决策的自主权、与同事和员工保持健康的关系、从家庭和社会获得尊重、在收入可观且医疗资源充足的环境中工作、以及拥有适当的工作时间和工作量,以促进高质量的护理。为医生创造一个能够专注于以患者为中心的医疗保健的环境将有助于促进国家医疗保健。